| Doctor Name: | VIJAY CHANDRAN |
| NPI Number: | 1801283692 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | P96499 |
| Business Practice Address: | 9 Reservoir Rd Pawling, NY - 125641715 |
| Business Phone Number: | 8458555700 |
| Business Fax Number: | 8453503100 |
| Mailing Address: | 3198 Grand Concourse, BRONX |
| State: | NY |
| Postal Code: | 104581000 |
| Phone Number: | 7186180401 |
| Fax Number: | 7187954394 |
| NPI Enumeration Date: | 04/20/2015 |
| NPI Last Update Date: | 04/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | P96499 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |